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It isn't like not letting them drive or drink alcohol or join the army – all things they can do when they are older but are against the rules in primary school.
The objective of this study was to evaluate barriers impeding the application of cardiovascular prediction rules in primary prevention.
If regular application of cardiovascular prediction rules in primary care is in demand additional interventions are needed to increase acceptance of these tools for patient management among general physicians.
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In general, the study results substantiate the commonly assumed perception that multimorbidity is the rule in primary care.
These items are often not readily available in primary care, which may hamper the scoring of this subjective item in the Wells rule in primary care.
Given that we observed good results for the Wells rule in primary care, it would be of interest to know how general practitioners actually interpret this subjective item.
We believe that the inclusion of more patients would not lead to different inferences about the benefits of the Wells rule in primary care.
10 11 We carried out a formal external validation of the Wells pulmonary embolism rule combined with a point of care qualitative D-Dimer test to evaluate the safety and efficiency of using this clinical decision rule in primary care.
Reasons for these conflicting results on the accuracy of the Wells rule in primary care are not entirely clear but could include the fact that in the validation study by Oudega and colleagues a relatively large proportion of patients had suspected recurrent thrombosis: 24% of all included patients compared with 15% suspected recurrent events in the study by van der Velde.
The usual rule in primaries is that voters flock to the winning candidate.
Mr. Hagelin said his rival's campaign ignored party rules in acquiring primary ballots for non-party members.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com